Clarke, Michelle Lynn
Clarke, Michelle Lynn is an individual health care provider with primary practice located at 260 Elm St Suite 105, Somerville MA 02144-2951. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clarke, Michelle Lynn can be contacted via phone (617) 666-9577.Contact Information
Primary practice address
260 Elm St Suite 105
Somerville MA 02144-2951
Phone: (617) 666-9577
Fax: (617) 666-3190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN2275315 | Massachusetts |
Profile Details
| NPI number | 1104187798 |
|---|---|
| LBN Legal business name | Clarke, Michelle Lynn |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2012 |
| Last updated | Mar 14th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104187798 | NPPES |
| Massachusetts | Other | 002800301 | MEDICARE PTAN |
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